What is oxygen toxicity in scuba diving and how to avoid it...
Oxygen toxicity in scuba diving happens when a diver breathes oxygen at a high partial pressure (PPO₂) for too long.
Although oxygen is essential for life, under pressure underwater it can become toxic to the body, especially the brain (CNS toxicity) and lungs (pulmonary toxicity).
Why it happens
As depth increases, gas pressure increases.
Even normal air (21% oxygen) becomes “stronger” under pressure.
Example:
At the surface: PPO₂ of air = 0.21 ATA
At 30 m / 100 ft: PPO₂ of air ≈ 0.84 ATA
With enriched air nitrox (EAN32 or EAN36), PPO₂ rises faster.
Most recreational agencies limit:
Working PPO₂: 1.4 ATA
Maximum contingency PPO₂: 1.6 ATA
Types of Oxygen Toxicity
1. CNS Oxygen Toxicity (Central Nervous System)
This is the dangerous one for divers because it can cause sudden convulsions underwater.
Symptoms
Remember the acronym VENTID-C:
Vision changes (tunnel vision)
Ears ringing
Nausea
Twitching (especially lips)
Irritability
Dizziness
Convulsions
A seizure underwater can lead to drowning if the regulator is lost.
Main causes
Exceeding maximum depth for the gas
High PPO₂
Long exposure
Stress, fatigue, cold, CO₂ buildup
2. Pulmonary Oxygen Toxicity
Usually affects technical divers or hyperbaric treatments after very long oxygen exposure.
Symptoms
Chest burning
Coughing
Difficulty breathing
Rare in recreational diving.
Nitrox and Oxygen Toxicity
With EAN32 (32% oxygen):
MOD at PPO₂ 1.4 = about 33 m / 110 ft
MOD at PPO₂ 1.6 = about 40 m / 132 ft
With EAN36:
MOD at PPO₂ 1.4 = about 28 m / 95 ft
This is why nitrox divers must always analyze tanks and respect MODs.
How to Avoid Oxygen Toxicity
1. Stay within MOD (Maximum Operating Depth)
Never exceed the depth limit for your gas mix.
Formula:
[
MOD = \left(\frac{PPO₂}{FO₂} -1\right)\times10
]
(metric)
2. Monitor PPO₂
Modern dive computers display PPO₂ during nitrox dives.
Keep:
Preferred ≤ 1.4 ATA
Emergency max ≤ 1.6 ATA
3. Avoid CO₂ buildup
High carbon dioxide increases risk dramatically.
Avoid:
Skip breathing
Overexertion
Poor buoyancy causing hard swimming
4. Limit exposure time
Even acceptable PPO₂ becomes risky over long periods.
Technical divers track:
CNS %
OTUs (oxygen tolerance units)
5. Analyze your gas
Always personally verify:
Oxygen percentage
MOD
Computer settings
6. Stay calm and rested
Fatigue, stress, dehydration, and cold may increase susceptibility.
What to Do if Symptoms Appear
If twitching, dizziness, or visual disturbances occur:
Ascend slightly to reduce PPO₂
Stop exertion
Signal your buddy
End the dive safely
If a diver convulses underwater:
Keep regulator in mouth if possible
Do not ascend immediately during active seizure
Wait until convulsions stop
Then perform controlled ascent
Recreational Diving Reality
For normal recreational diving:
Air diving rarely reaches dangerous PPO₂ levels
Oxygen toxicity risk mainly appears with:
Nitrox
Deep diving
Technical diving
Rebreathers
That’s why proper nitrox training is important before using enriched air.

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